When it comes to scarred uterus, many cesarean section patients or medical practitioners who are not obstetricians think that it is just an extra scar on the uterus, and they can recover quickly from a bigger surgery than this. Today, let’s talk about the considerations for re-pregnancy after scarred uterus surgery. The scarred uterus, to be precise, refers to the endometrium, the myometrium, the entire plasma layer of the uterus or the endometrium, the myometrium or the myometrium and plasma layer of the uterus that caused trauma and formed a scar, and the factors that cause scarred uterus are not only rupture of the uterus and myomectomy. Scarred uterus also includes spontaneous rupture of choriocarcinoma uterine lesions, uterine deformity correction, uterine perforation caused by abortion or IUD removal, etc. The scarred uterus can present risks such as uterine rupture during another pregnancy due to the destruction of its original tissue structure, formation of weakness, etc. Therefore, strict contraception is recommended for 2 years after cesarean section, and 2 years is also a more suitable period for another pregnancy, when the scar tissue is most elastic, after which, the elasticity gradually decreases. The period of pregnancy after myomectomy depends on the location of the fibroids and penetration of the uterus at the right time. For women with scarred uterus who are pregnant again, it is important to do a good assessment during the preparation period to ensure that pregnancy is indeed possible, to inform the doctor during the maternity check-ups, to follow the doctor’s advice, to perform the scheduled maternity check-ups or to increase the number of check-ups appropriately, and to seek timely medical attention for abnormal lower abdominal pain. For patients with scarred uterus, they should go to the hospital 2 weeks before the expected delivery date to prevent spontaneous uterine rupture. Although scarred uterus has the risk of spontaneous uterine rupture, pregnant mothers do not need to be overly nervous about delivering the fetus too early, if only because they are afraid that their baby will take unnecessary risks.